Provider Demographics
NPI:1245116821
Name:GOMEZ MONTOYA, LUISA FERNANDA (MD)
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:FERNANDA
Last Name:GOMEZ MONTOYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 E HIBISCUS AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3299
Mailing Address - Country:US
Mailing Address - Phone:956-509-4265
Mailing Address - Fax:
Practice Address - Street 1:1401 E 8TH ST APT 4
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6640
Practice Address - Country:US
Practice Address - Phone:956-968-8567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program